Core Foundational Documents
Nursing Theory

Swanson, K. (May/June 1991). Empirical development of a middle range theory
of caring. Nursing Research, 40 (3). Retrieved January 2, 2014 from http://www.ncnurses.org/dotAsset/113036.pdf
Philosophy of Nursing at Baxter Regional
Nursing at Baxter Regional Medical Center (BRMC) commits to promote the
health and wellness of the individuals in the community we serve. To that
end, nursing is on a Journey to Excellence and welcomes the challenge
to improve nursing care and treatment, exceed the patient’s service
expectations, and produce outstanding nursing clinical outcomes related
to national benchmarks.
Nursing at BRMC is built upon sound nursing theory and research. The Nursing
Model depicts the integration of our nursing Theory of Caring and our
commitment to practice. BRMC nursing leverages our care delivery systems
to ensure our practice is autonomous, collaborative, Interprofessional,
and relationship – based with our focus on Patient/Family Centered
Care. All decisions, plans, and approaches solicit the voice of our key
customer – the patient. When making changes, we take into account
the preference and impact of care on the patient first, with the impact
on staff and physicians as important partners. Through the lens of the
patient’s well-being, safety, and choice we determine what, how,
when, and why we do what we do.
Nursing at BRMC strives to innovate and breakthrough barriers that prevent
or compromise best practices. Nurses commit to team work, trust building
and trustworthiness, and a forward thinking search for and discovery of
yet unknown possibilities of best practice. Our greatest imperative is to serve.
Professional Practice Model

Care Delivery System
Decision-Making
Work Allocation and/or Patient Assignment
Communication
Management of Environment
Scope of Services and Plan for the Provision of Care
Nursing Division and Department Plans
Nursing Professional Code of Ethics
PROVISION 1
The Nurse, in all professional relationships, practices with compassion
and respect for the inherent dignity, worth and uniqueness of every individual,
unrestricted by considerations of social or economic status, personal
attributes, or the nature of health problems.
PROVISION 2
The Nurse’s primary commitment is to the patient, whether an individual,
family, group or community.
PROVISION 3
The Nurse promotes, advocates for and strives to protect the health, safety
and rights of the patient.
PROVISION 4
The Nurse is responsible and accountable for individual Nursing practice
and determines the appropriate delegation for individual Nursing practice
and determines the appropriate delegation of tasks consistent with the
Nurse’s obligation to provide optimum patient care.
PROVISION 5
The Nurse owes the same duties to self as to others, including the responsibility
to preserve integrity and safety, to maintain competence and to continue
personal and professional growth.
PROVISION 6
The Nurse participates in establishing, maintaining and improving healthcare
environments and conditions of employment conducive to the provision of
quality health care and consistent with the values of the profession through
individual and collective action.
PROVISION 8
The Nurse collaborates with other health professionals and the public
in promoting community, national, and international efforts to meet health needs.
PROVISION 9
The profession of Nursing, as represented by associations and their members,
is responsible for articulating Nursing values, for maintaining the integrity
of the profession and its practice and for shaping social policy.